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HomeMy WebLinkAbout041-420-034A. P. A.1-42- Roy Suman � . app. 4 mi. off w� Clar" Rd. app. 400 no. of Clear Cr Cemetery ����j - Permit 838-71B (new sin (q 04.1=420-034 03-3163 BAILEY, MARY 1 3807 WEST BRANCH LN, OROVILLE REROOF/SF ' I ` I . i I i _ I I l 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Laliforhia 95965 • Telephone (530) 538-75, MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 3-��P !) ASSES SORPARCELNUMBER 041-420-034 I ZONING BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MMUNG ADDRESS Q F9-5,96-5 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Flin Fee $ 20.00 Permit Fee $ nn ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee _on $ BUILDING ADDRESS 1807 WEST BRANM LN 0RD41IR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other R Describe Work: p>♦ RQDF' ]^O,gn r�Mp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LES 600VMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: - I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ZODA TO lOooA 46.00 NEW CONST. DW .NG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5g! NOµpESlp MULTI.OUTLET 97,50 P.0 APPARATus a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TUREs 204 1'00 SAL o .50 Ex. Occu . oFluri�rs ASID°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EEPERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,t� Date J� ()� � Q 3 6nature of App . ant -[ Owner Contractor ❑ Agent An OSHA permi quirefor excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE L F TOTAL FEE $ Q nn NAZ. D. FEESIMP CDF pggCEL pp HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ha •� UV PERMIT EXPIRES ONHITE-D.D.S.-B. the applicable provisions Resolutions to do work a been paid. Date Dale rReceiptNo. . CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. QI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES )1� NO O I HAVE0 HAVE NOT 13 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: L DATE: NOTE. This Owner Builder Verifwation is required by Section 19831 and 19832 of the California Health and Safety Coda This verifuadon must be completed and returned to our o,'Twe before we are permitted to issue the permit. � i • OWNER BTJII.DER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your mime listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record. on such a permit Building permits are not required to lie signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (mchrding materials and other costs) is 1300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wodcers compensation insurance, disability insurance costs, acid unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infom ation about your obligations under Federal Law, contract the Internal Rove= Service (and, ifyou wish, the U.S. Small Business Adminisfration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Inf=ation about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. yp IVf�c 1 C. Vidim C B.O. er, Building Inspection NOTE: ?Isis Owner-BuilderWorrnadon is required by Section 19930 of the California Health and Safety Code { PERMIT NUMBER - B 838-71 P 796-71 4 Y E PERMIT EXPIRES �4 `wZ 'OWNER Roy E. Suman .`iCONTR: owner LOCATION (A. P. 41-42-34 ) _ �-'� •• rye fy app. 4 mi. off w/s Clark fid. app. 400 ft. h' no. of Clear Creek Cemetery Rd. / 9—.7_3 .i • �i �i. i J i Zoning Foundation Rgh. Plumbing r Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE /d - 7/ COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Setbackf�� / Piers & Girders 41 :/e-- 71--1941 Bond Beam �•a" Gas Piping & Test Plmg. Topout 2 / Furnace Garage Vents GAS Temporary Final Forms F'r ce' ' ath & PI ste �6IL Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS 41� 9-13-714Z� 1 pppp- 1' PERMIT NUMBER- B 838-71 1 i P 796-71 9 l• y 7 E 1 _ PERMIT EXPIRES 'ot N R Roy E. Suman .',CONTR: owner 'LOCATION (A. P:41-42-34 mi. off wls Clark did. app.. 400 ft. app.. .. 4 no. of Clear Creek Cemetery Rd. Al :-.a Ti-%fIB� I. •i, r e s ` i Zoning Foundation Rgh. Plumbing Rein. Steel Framing ��� — Wtr. Htr.� Firewall ELECTRIC Temporary Final C.O,UNTY OF BUTTE Department of .Public Works BUILDING INSPECTION RECORD Setback Piers & Girders ? +�-- Bond Beam Gas Piping & Test Plmg. Topout— Furnace Garage Vents GAS Temporary Final Forms i Fr lace atL h & Plyste Found. Vents Rough Elec... Kitchen Vent i Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS (?43-7�IAZk r d �� v2 ° °fes ;-a w A 15-6 .- 6� -7-72 a _ July 219 1971 Roy E. Suman RE: Building Permit Application 1612 Sylvan Way. #838-71B Paradise,'California 95969 Dear Sir: With reference to the above subject and your application for a new home off Clark Road, before this office can issue the required permit, we need the following: 1. Verification of 60 ft. right of way. 2. Complete roof construction details in duplicate. 3. Engineer design on 33 ft. span trusses. l,. Clearance from Health Department.. As soon as we receive this information, we shall process for the necessary permits. Should you have any questions, please contact us. 1 Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Assistant Director r' --- '- - --' _^_� ..r ILDx«O. 2, 31 BUTTE COUNly Director P Ing. Permits wate •_�X�..zr �� I- / 9-'73 J !j EES/ /,41 s� Eci cU Al Sri9% per 41, T �- o 'J6 X a��o 3 F-7/ 6 IZ ID. t9 CI tAIZ 0 C chit rc-R I • TO .----------M-V -- -`- `---- - — ----- - � ' � -'------------------- DATE.---------------------/I-3----TIME----`_-!5___--. • WHILE YOU WERE OUT a M R • ----- Ole ----- -- ---- - - - -- - ------ -- -- -- - - OF-------------------------------------------------------------------------------- PHONE -----------------------------PHONE NO .-----------�7`---------------------------------------�– ----- Telephoned - - - -j Please Call - - - - Called to See You - - ❑ Will Call Again - ❑ MESSA ------------------------------------------------- ----------------------- L f •---------------------------------------------------- -- - J---------------- -- COUNTY OF.BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 L 'A-PPL.ICATION AND ELECTRICAL PERMIT Permittee Owner if f. t A. P. No. . Mailing Address -r Contractor Mailing Address BLDG. Address DESCRIPTION OF WORK No. Fee $2.00 PERMIT FILING FEE NEW F-1, ADDITION Q METER SERVICE Supplementary Filing Fee 1.00 Main Service OTHERS: (12 or (morethan Sub -panel less) 12) - Each � �_ - Dryer or Water Heater r Each L00 Remarks:Range, Oven, Cook -Top or Space Heater Each :.50 , Light Fixtures (I. .7 First 2D .20 Each Additional 10 USE OF STRUCTURE —, -1 ! Receptacles., Switches & Fixture Outlets ' First 20 .20 Each Additional .10 Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Single Multi Family F-1 Duplex O Dwelling F Evan. Cooler. Gar. DisD. or Dishwasher Each .50 OTHERS: Misc. Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name styleof.............................................................................._......................................................................................................._.................................................__ , License No. ****­*­** ............... , Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect. B. OWNER-BUILDR 8. OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption....................................................................................................._.._...._............._ ........_._ »._. .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS X.......... .............. .................... ...... .......... Date ...... SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Dote ....................... .... _.... ReceiptNo..................................................................... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive, Oroville, California 95965 PHONE: 916-534-4541 DATE r 7 p RE With reference to the above subject:` '`'" t��� ✓�� Attached. is: Application for -permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced 01 OTHER We need the following information: _ Permit application signed and completed where indicated with all copies returned. Fees of $ to, c/ JZ3'—'- S^r�,���a,�l'`•C��.r..,��.� Certificate of Workmen's Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr, calcs. Two (2) sets of plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico. Planning approval, i.e., use permit, variance, rezoning, Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of.legally created parcel by deed. Deed for right of way. Parcel map recorded. A � 2430 Bird St., Oroville. Skyway & Elliott Rd.,ParadisE etc., from Butte County PWR As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Assistant Director Si /s/� ,.moi► Jr� M COUNTY OF BUTTE [[ DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUIL D I N 0 P E R M I T n I Permittee Owner A. P. No. - Mailing Address 1 • �- .. , - Fire Zone Zoning Contractor Sanitation Plannin Mailing Address Plans Fees W. C. BLDG. Address R W Encroachment NEW ADDITION REPAIRS OTHER F 0'U N D A T1 0 N MATERIAL EXTERIOR - PIERS Others Single Multi Width at Top USE OF STRUCTURE Family 0 Duplex Q Dwelling Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists- 2nd Floor Fireplace r Joists -Ceiling Total Valuation ] '�', - — Exterior Stdds Permit Fee Interior Studs w Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name style of..............................................................................................................................................................................................:................................................. . License No . ........................... Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date ................................ Permit Expires Date,,,,,,,,,,,,,,,,, � Cr-��7 t om: Y� ,,,� �� Uva-�P�..� w!� � �1�in,.;��, Amo g �� �l�oN<��� �. fie'! °. "mow ,P � � �� i// v� ��,Cr�� NEW F5�Zj ADDITION [D REPAIRS 0 OTHERS: Remarks: USE OF` -STRUCTURE Single Multi RESIDENTIAL Family Duplex Dwelling .� OTHERS: Remarks: PERMIT .FILING FEE COUNTY OF $UTTE Each fixture or trap or set of fixtures on one trap - r] DEPARTMENT OF PUBLIC WORKS *� r• Repair or alteration drainage or vent piping 7 County Center Drive - Oroville, California 95965 Installation or repair water piping Phone: 533-1230, Ext. 259 _ - Each gas water heater or gas heater vent APPLICATION AND PLUMBING PERMIT Gas piping system 1 - 5 outlets 1.50 Permittee Owner .30 A. P. No.I a r' Mailing Address / f / 2 y I l •1 i :Lir _4 Contractor 2.00 Mailing Address BLDG. Address 4 h v , /'� n ! '�i �: i 1 ✓ ,- — 1� r�.� /r i-�r /�c-i - .: -. J i./ DESCRIPTION OF WORK No. @ Fee NEW F5�Zj ADDITION [D REPAIRS 0 OTHERS: Remarks: USE OF` -STRUCTURE Single Multi RESIDENTIAL Family Duplex Dwelling .� OTHERS: Remarks: PERMIT .FILING FEE 12.00 Each fixture or trap or set of fixtures on one trap - r] 1.50 *� r• Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 _ - Each gas water heater or gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE 1 $ CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof ................................................................................................................................................................................................................................................ r License No. Classification ............................................... and certify that the aforesaid license is is full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check o ---ie): Q I am the owner of the above property and I will contract to have all of the above work performed bir licensed contractors. (Sec. 7044), 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption......................................................................................................................._........................................I ............................._..................... ..................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. Date SIGNATURE OF PERMITTEE OR AGENT ReceiptNo........................... ......................................... This PLUMBING PERMIT is hereby _slued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .............................. a C&I IZ